Cost-Effectiveness Analysis of First Step Next for Preschoolers with Social-Emotional Needs

IF 1.7 4区社会学 Q1 SOCIAL WORK Research on Social Work Practice Pub Date : 2023-10-19 DOI:10.1177/10497315231208400

Andy J. Frey, Jason W. Small, Bixi Zhang, Samantha Bates, Margaret R. Kuklinski, Hill M. Walker, Edward G. Feil

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Abstract

Purpose: Few cost-effectiveness studies have been conducted on social-emotional interventions for students in preschool settings. The current study is a cost-effectiveness analysis of the First Step Next (FSN) intervention for preschool students. Method: Our approach involved a secondary analysis of a randomized control trial that utilized the ingredients method to estimate costs (Levin & McEwan, 2001). In addition, effect sizes were used to generate incremental cost-effectiveness ratios representing the cost of improving student outcomes by one standard deviation (1 SD). Results: FSN was more cost-effective for improving behavior in the school setting than in the home setting, with an average cost per 1 SD improvement of $3,833 and $6,329, respectively. Additionally, the intervention had greater cost-effectiveness for social skill-related outcomes than problem behavior-related outcomes among preschool students. Discussion: This study advances our understanding of the costs and outcomes of practices designed to improve the school success of our youngest learners.

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学前儿童社会情感需求第一步的成本效益分析

目的:对学前儿童社会情绪干预的成本效益研究较少。本研究是对学前儿童第一步下一步(First Step Next, FSN)干预的成本-效果分析。方法:我们的方法包括对一项随机对照试验的二次分析，该试验使用成分法来估计成本(Levin &麦克尤恩,2001)。此外，效应量被用来产生增量成本-效果比，代表提高学生成绩的成本为一个标准差(1sd)。结果:FSN在学校环境中比在家庭环境中更具有成本效益，每1 SD改善的平均成本分别为3,833美元和6,329美元。此外，干预对学龄前学生的社会技能相关结果比问题行为相关结果具有更高的成本效益。讨论:这项研究促进了我们对旨在提高最年轻学习者学业成功的实践的成本和结果的理解。

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来源期刊

Research on Social Work Practice SOCIAL WORK-

CiteScore

3.50

自引率

11.10%

发文量

105

期刊介绍： Research on Social Work Practice, sponsored by the Society for Social Work and Research, is a disciplinary journal devoted to the publication of empirical research concerning the methods and outcomes of social work practice. Social work practice is broadly interpreted to refer to the application of intentionally designed social work intervention programs to problems of societal and/or interpersonal importance, including behavior analysis or psychotherapy involving individuals; case management; practice involving couples, families, and small groups; community practice education; and the development, implementation, and evaluation of social policies.